Research Summary
Analyzed using Evidence Intelligence™

PEG-Loxe improves urine protein levels in diabetic kidney disease

Last updated August 24, 2026

Key finding

TG levels decreased by -0.56 mmol/L (95% CI: -0.71, -0.42) in the PEG-Loxe group.

This study compared the efficacy and safety of polyethylene glycol loxenatide (PEG-Loxe) and dapagliflozin in patients with mild-to-moderate diabetic kidney disease, finding both treatments effective in reducing urinary albumin-to-creatinine ratio.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Medium-Term (3–12 mo)

Risk of bias

Some Concerns

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Plain-language summary

What this paper says

A plain-language read of the study’s main message and where it applies.

Study focus

This study compared the efficacy and safety of polyethylene glycol loxenatide (PEG-Loxe) and dapagliflozin in patients with mild-to-moderate diabetic kidney disease, finding both treatments effective in reducing urinary albumin-to-creatinine ratio.

Clinical relevance

This research is significant as it provides evidence supporting the use of PEG-Loxe as a potential treatment option for patients with diabetic kidney disease, a condition that complicates diabetes management. Understanding the efficacy of these medications can help clinicians make informed treatment decisions to improve patient outcomes.

Keep in mind

The study did not report significant differences in blood pressure between groups. The sample size and demographic characteristics may limit generalizability. Effectiveness claims were unclear for some outcomes.

Published in

Journal Reference

Publication details and source links for this paper.

YongSheng C, Shujie C, Jiangang Z, Jianqin Z, Yanan Z, Ying L. Efficacy and Safety of Polyethylene Glycol Loxenatide Compared to Dapagliflozin in Patients with Mild-to-Moderate Diabetic Kidney Disease. Frontiers in Endocrinology. 2024;15:1387993. doi:10.3389/fendo.2024.1387993

Main Effects

PEG-Loxe group showed a mean percent change in UACR of -29.3% (95% CI: -34.8, -23.7).

Dapagliflozin group exhibited a mean percent change in UACR of -31.8% (95% CI: -34.8, -23.7).

HbA1c levels decreased by -1.30% (95% CI: -1.43, -1.18) in the PEG-Loxe group.

Evidence network

How this study fits

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Evidence Context

This study contributes evidence to Dapagliflozin, PEG-Loxe 300 µg/week and Diastolic blood pressure, HbA1c, Systolic blood pressure, and 2 more.

Primary intervention

Dapagliflozin

Primary outcomes

  • Diastolic blood pressure
  • HbA1c
  • Systolic blood pressure

Evidence relationships

Intervention and outcome relationships this study adds to the evidence network.

10
Evidence pairs
10
Relationships
3
Evidence topics
contributes_evidence

Editorial context

Why this study matters

See why this paper is useful beyond its individual results.

Evidence network role

This section describes how the study fits into the current evidence network. It does not determine whether an intervention works on its own.

Moderate contributionModerate confidenceNetwork score: 68

3

Related topics

10

Evidence pairs

555

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 10 evidence relationships
  • Includes primary outcome data
  • Linked to 3 direct semantic evidence topics

Topic contributions

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Add related evidence to your Evidence Tracker

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Primary evidence

Evidence relationship

SGLT2 Inhibitors and HbA1c

Related evidence

Evidence relationship

SGLT2 Inhibitors and Kidney Function

Save evidence

Evidence relationship

SGLT2 Inhibitors and Adipokine and Angiogenic Markers

Save evidence

Core evidence

Study findings

The primary outcomes reported in this study.

Diastolic blood pressure

Dapagliflozin → Diastolic blood pressure

Dapagliflozin → Diastolic blood pressure

Evidence Intelligence™
EvidenceScore™
63
Moderate
ImpactScore™
50
Neutral
ConsistencyScore™
35
mixed
Supporting studies: Based on 2 studies
Add to Evidence Tracker

HbA1c

Dapagliflozin → HbA1c

Dapagliflozin → HbA1c

Evidence Intelligence™
EvidenceScore™
79
Strong
ImpactScore™
80
Positive
ConsistencyScore™
100
consistent
Supporting studies: Based on 7 studies
Add to Evidence Tracker

Systolic blood pressure

Dapagliflozin → Systolic blood pressure

Dapagliflozin → Systolic blood pressure

Evidence Intelligence™
EvidenceScore™
75
Moderate
ImpactScore™
77
Positive
ConsistencyScore™
75
consistent
Supporting studies: Based on 4 studies
Add to Evidence Tracker

Triglycerides

Dapagliflozin → Triglycerides

Dapagliflozin → Triglycerides

Evidence Intelligence™
EvidenceScore™
72
Moderate
ImpactScore™
88
Very Positive
ConsistencyScore™
100
consistent
Supporting studies: Based on 3 studies
Add to Evidence Tracker

Urinary albumin-to-creatinine ratio

Dapagliflozin → Urinary albumin-to-creatinine ratio

Dapagliflozin → Urinary albumin-to-creatinine ratio

Evidence Intelligence™
EvidenceScore™
75
Moderate
ImpactScore™
77
Positive
ConsistencyScore™
100
consistent
Supporting studies: Based on 4 studies
Add to Evidence Tracker

Diastolic blood pressure

PEG-Loxe 300 µg/week → Diastolic blood pressure

PEG-Loxe 300 µg/week → Diastolic blood pressure

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

HbA1c

PEG-Loxe 300 µg/week → HbA1c

PEG-Loxe 300 µg/week → HbA1c

Evidence Intelligence™
EvidenceScore™
Moderate
Score 69 · Based on 2 studies
ImpactScore™
50
Neutral
ConsistencyScore™
100
consistent
Supporting studies: Based on 2 studies
Add to Evidence Tracker

Systolic blood pressure

PEG-Loxe 300 µg/week → Systolic blood pressure

PEG-Loxe 300 µg/week → Systolic blood pressure

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Triglycerides

PEG-Loxe 300 µg/week → Triglycerides

PEG-Loxe 300 µg/week → Triglycerides

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Urinary albumin-to-creatinine ratio

PEG-Loxe 300 µg/week → Urinary albumin-to-creatinine ratio

PEG-Loxe 300 µg/week → Urinary albumin-to-creatinine ratio

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Evidence Library

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evidence suggest

Evidence Suggest

  • Both treatments significantly reduced urinary albumin-to-creatinine ratio.
  • HbA1c levels decreased similarly in both treatment groups.
  • PEG-Loxe showed a greater reduction in triglycerides compared to dapagliflozin.
who this applies

Who this applies to

  • Adults with mild-to-moderate diabetic kidney disease.
  • Patients currently on diabetes management therapies.
keep in mind

Keep in Mind

  • The study's findings may not apply to patients with severe kidney disease.
  • Long-term effects of PEG-Loxe were not assessed.
  • Further research is needed to confirm these findings in larger populations.
between the lines

Between the Lines

  • The study did not report significant differences in blood pressure between groups.
  • The sample size and demographic characteristics may limit generalizability.
  • Effectiveness claims were unclear for some outcomes.

Evidence Library

Build your evidence library

Save research, organize studies, and quickly find important evidence again.

Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on SGLT2 Inhibitors and HbA1c, SGLT2 Inhibitors and Blood Pressure.

Related evidence relationships

Explore in Evidence Explorer

This study contributes to the evidence on the following intervention-outcome relationships.

Questions answered by this study

Generated from the study's connected evidence using Evidence Intelligence™.

Does SGLT2 Inhibitors improve HbA1c?

Strong Evidence

SGLT2 Inhibitors may improve HbA1c.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    HbA1c

    EvidenceScore™ Strong | EvidenceScore™ 79.4 | moderate positive | ConsistencyScore™ Consistent | 1 study

Why this answer: This answer is based on 19 supporting studies with consistent results and a positive effect signal.

Limitations

  • Population details are unavailable.
19 supporting studiesUpdated: Aug 2026

Does SGLT2 Inhibitors improve kidney function?

Strong Evidence

SGLT2 Inhibitors may improve Kidney Function.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Urinary albumin-to-creatinine ratio

    EvidenceScore™ Moderate | EvidenceScore™ 74.6 | moderate positive | ConsistencyScore™ Consistent | 1 study

Why this answer: This answer is based on 10 supporting studies with consistent results and a positive effect signal.

Limitations

  • Population details are unavailable.
10 supporting studiesUpdated: Aug 2026

Does SGLT2 Inhibitors improve adipokine and angiogenic markers?

Strong Evidence

SGLT2 Inhibitors may improve Adipokine and Angiogenic Markers.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Triglycerides

    EvidenceScore™ Moderate | EvidenceScore™ 71.5 | strong positive | ConsistencyScore™ Consistent | 1 study

Why this answer: This answer is based on 9 supporting studies with consistent results and a positive effect signal.

Limitations

  • Population details are unavailable.
9 supporting studiesUpdated: Aug 2026

Does SGLT2 Inhibitors improve blood pressure?

Strong Evidence

SGLT2 Inhibitors may improve Blood Pressure.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Systolic blood pressure

    EvidenceScore™ Moderate | EvidenceScore™ 74.6 | moderate positive | ConsistencyScore™ Consistent | 1 study

  2. 2

    Diastolic blood pressure

    EvidenceScore™ Moderate | EvidenceScore™ 63.1 | neutral | ConsistencyScore™ Mixed | 1 study

Why this answer: This answer is based on 6 supporting studies with consistent results and a positive effect signal.

Limitations

  • Population details are unavailable.
6 supporting studiesUpdated: Aug 2026
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